Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.25 / $48.13 / $185.72	Facility		$20.25	$48.13	$185.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $20.80 / $41.30	Professional		$16.05	$20.80	$41.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $15.93	Professional		$13.76	$13.76	$15.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.14 / $55.33 / $293.00	Facility		$25.14	$55.33	$293.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $18.07 / $57.09	Professional		$11.33	$18.07	$57.09
Blue Shield Facility/Professional Facility Modifier Low / Median / High Price $49.50 / $90.30 / $292.07	Facility		$49.50	$90.30	$292.07
Blue Shield Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.30 / $65.81	Professional		$14.22	$20.30	$65.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $30.12 / $76.79	Facility		$15.89	$30.12	$76.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.07 / $27.75 / $40.96	Professional		$15.07	$27.75	$40.96
Contra Costa Health Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $22.94 / $36.70	Professional		$20.39	$22.94	$36.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.94 / $51.99	Professional		$18.35	$22.94	$51.99
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $169.07 / $214.96 / $214.96	Facility		$169.07	$214.96	$214.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $13.76 / $13.76	Professional		$13.76	$13.76	$13.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $27.45 / $68.75	Facility		$19.03	$27.45	$68.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $22.94 / $45.88	Professional		$15.30	$22.94	$45.88
Sutter Health Plus Facility/Professional Professional Modifier Low / Median / High Price $80.51 / $80.51 / $80.51	Professional		$80.51	$80.51	$80.51
The Alliance Facility/Professional Professional Modifier Low / Median / High Price $18.35 / $22.94 / $32.11	Professional		$18.35	$22.94	$32.11
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.65 / $46.15	Professional		$9.63	$13.65	$46.15